The nurse is assisting with care of a patient on chemotherapy ...

[itsmyluck]

The nurse is assisting with care of a patient on chemotherapy with severe mucositis. The patient reports mucous membrane pain level to be 8 on the pain scale. The priority nursing diagnosis for this patient is
 
  a. altered nutrition: less than body requirements.
  b. risk for aspiration.
  c. fluid volume deficit.
  d. pain.

Question 2

A patient using carbamide peroxide (Gly-Oxide) to treat multiple canker sores develops tissue irritation and black hairy tongue. The patient asks the nurse what can be done to soothe the pain. The nurse will first encourage use of
 
  a. Milk of Magnesia.
  b. viscous lidocaine 2.
  c. Salivart.
  d. saline rinses.

[jonathanballen97]

Answer to Question 1

ANS: D
Pain is the nursing priority. A score of 8 indicates severe pain and comfort measures would take priority. Altered nutrition: less than body requirements, risk for aspiration, and fluid volume deficit are not the priorities at this time.

Answer to Question 2

ANS: D
Saline rinses may be soothing and can be used before topical application of carbamide peroxide (Gly-Oxide). They would be encouraged prior to other measures. Milk of Magnesia, viscous lidocaine 2, and Salivart are not used to soothe this side effect.

[itsmyluck]

Thank you!

[jonathanballen97]

Always glad to help...